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Re: SSRI apathy syndrome (survey) » Elizabeth

Posted by Ritch on February 13, 2002, at 23:08:43

In reply to Re: SSRI apathy syndrome (survey) » Ritch, posted by Elizabeth on February 13, 2002, at 22:12:02

> Most pdocs I've spoken to seem to have encountered it, and it's not hard to find information about it in the literature. It sometimes goes by the name "frontal lobe syndrome."
>
> My survey question is, have people tried treating the SSRI apathy syndrome, and if so, with what and did it work?
>
> -elizabeth


Hi Elizabeth,

I find that SSRI's all cause some apathy to some extent-which can be helpful if you are using them to treat an anxiety disorder (in my case). I am not really using them as an AD. Perhaps what I can offer is simply reducing the dose or switch to a more activating SSRI (i.e. Prozac). Also, what seems to work (to alleviate depression without being apathetic and still using some SSRI)---is to combine a small dose of SSRI with a small dose of a TCA. I have tried Celexa+Nortriptyline and Zoloft+Nortiptyline with a good measure of success. What I would still like to hear out there is success with low-dose SSRI+ low-dose standard psychostimulant.

Mitch


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